Individual provider · Type 1 NPI

Rachel Ann Longawa Ketter, PA-C

Physician Assistant · Kenosha, WI

NPI number 1760822845 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3133-23 (WI)
Physician Assistant Primary 363A00000X085004728 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760822845

Rachel Ann Longawa Ketter, PA-C's National Provider Identifier is 1760822845, issued on Jul 3, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kenosha, WI. The record was last updated on Jun 25, 2025.